Method and system for radiotherapy treatment

Abstract

A method for radiotherapy treatment of a target organ in the vicinity of the rectum in an individual comprises withdrawing the rectum in a dorsal direction to increase a distance between the rectum and the target organ, and administering a therapeutical dose of radiation to the target organ while the rectum is in the withdrawn position. In one embodiment, the target organ is the prostate. A system for use in radiotherapy treatment of a target organ in the vicinity of the rectum in an individual comprises a cylindrical rectal rod adapted for insertion into a rectum of the individual, and a support surface operable to support an individual in a lithotomy position to receive a beam of radiation to the target organ. The system may further include a radiation source for administering a beam of radiation to the target organ of an individual.

Description

FIELD OF THE INVENTION [0001] The present invention is directed to methods and systems for radiotherapy treatment of a target organ in the vicinity of the rectum in an individual, for example for treatment of prostate cancer, cervical cancer, uterine cancer or the like, and more specifically, the present invention is directed to such methods and systems wherein the rectum is withdrawn in a dorsal direction to reduce radiation administration to non-target areas, and particularly to reduce radiation administration to the rectum. BACKGROUND OF THE INVENTION [0002] External beam radiotherapy (EBRT) is widely accepted as a curative treatment modality for localized prostate cancer. See, for example, Holupka et al, “Ultrasound image fusion for external beam radiotherapy for prostate cancer,”Int. J Oncology Biol. Phys., 1996:35:975-84. However, in order to cure localized cancer of the prostate with radiotherapy, a high dose is needed. Different escalation schedules are used world wide. Gene...

AI Technical Summary

Benefits of technology

[0010] The methods and systems of the present invention are advantageous in reducing radiation administration to areas other than the target organ, particularly in reducing radiation administration to the rectum. The methods and systems ma...

Problems solved by technology

There are, however, radiation dose limitations that should be followed in order to avoid complications in dose sensitive organs, including, but not limited to, the rectum, the bladder and the hips.

Additionally, an internal rotation and tilt angle sometimes occurs which cannot be corrected, even by use of markers in the prostate.

In turn, such treatments have become increasingly sensitive to setup error and organ motion, as described by Mechalakos et al, “Time trends in organ position and volume in patients receiving prostate three-dimensional conformal radiotherapy,”Radiother Oncol., 2002:62:261-5.

Often, however, treatment of prostate cancer with high-dose radiotherapies is not sufficient due to the close relationship between other organs, and specifically, the rectal wall and the prostate.

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